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 |