| NPI | 1003297524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH COHEN Director Of Clinical Services 718-802-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P97178) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |