NPI | 1205329273 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM CAMACHO Assistant Controller 212-284-7206 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2018-06-13 |
Last Update Date | 2024-05-07 |