| NPI | 1174386577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDA L PILGRIM Executive Clinical Director 718-704-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |