| NPI | 1134555899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARITA TSALYUK Vice President 646-298-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 074052) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2017-07-27 |