| NPI | 1033579917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIOSOTTE CABAN Family Therapist 718-297-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 06308) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |