| NPI | 1790053742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE HERRERA Deputy Director Of Clinics 718-824-2790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2011-12-06 |