| NPI | 1073910642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIVKIE LEBOVITZ Associate Director 718-875-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0885731) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |