| NPI | 1104048354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE AVERY Deputy Executive Director 212-289-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 180211338) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2015-04-15 |