| NPI | 1225414329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT REN A VP Finance 718-818-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 7749004A) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |