| NPI | 1053613489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LECZYCKI Program Director 646-459-6166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 075566) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |