| NPI | 1275963720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY SHIRELLE GAMBLE COBB Executive Director 718-230-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2022-09-12 |