| NPI | 1083905509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CORLISS Executive Director 212-942-0043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 079786-1) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2016-06-01 |