| NPI | 1215479746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL DELROSARIO Cmhn 646-932-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 586572) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |