| NPI | 1205779212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY K MARTIN Executive Director 646-575-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |