| NPI | 1033659495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANETA SKROBACZ Clinical Director 718-584-7204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P99531) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |