| NPI | 1811229206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON HERSHBERGER Chariman 718-780-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: NY 5131992DUP) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |