| NPI | 1104966829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BALIN Executive Director 718-787-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 7730001A) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2009-12-24 |