| NPI | 1760441489 |
|---|---|
| Former Legal Business Name | THE BOYS CLUB OF NEW YORK |
| Entity Type | Organization |
| Authorized Contact | BRAD ZERVAS Executive Director 212-533-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |