| NPI | 1871340703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANNA VAUGHN Cheif Executive Officer 718-200-2720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |