| NPI | 1316325673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE FERGUSON CEO 347-703-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 593610) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |