| NPI | 1932495520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KLEINMAN Clinic Director 718-454-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 079909-1) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |