| NPI | 1295868271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE BACCHUS Assist Controller 212-385-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 6965001A) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2019-03-04 |