| NPI | 1043676935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DJOUMBAYE Lmsw 646-373-7689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 091046) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-01-07 |