| NPI | 1245652775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE KING Multi Systemic Therapist 347-913-2959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 091304-1) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-02-26 |