| NPI | 1194936260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS OTERA THOMAS Mental Health 212-690-0632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY PO58646-1) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-06-13 |