| NPI | 1164801478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO SOTO Founder/Executive Director 718-249-0756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |