| NPI | 1851382188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILADA CASTORO CFO 718-788-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2019-04-17 |