| NPI | 1295277614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE GINA LACHOFF Clinical Supervisor 1718-779-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 082034) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |