| NPI | 1831307628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FLIEGEL Acting CEO 718-945-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 071513) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2014-03-17 |