| NPI | 1164878468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELIN ENID WEISS Associate Executive Director 718-863-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 035393) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |