| NPI | 1982978326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANANIA PENA-BAEZ Administrator 212-927-4765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 197338) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-27 |