| NPI | 1063959559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA SHAZETTE DAVIS Chief Executive Officer 718-956-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |