| NPI | 1255620381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS W ATKINSON Director 212-725-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 052973) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |