| NPI | 1205172871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF RONDINARO Executive Director 212-864-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 115776) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 22510) |
| Enumeration Date | 2012-12-29 |
| Last Update Date | 2012-12-29 |