| NPI | 1316399637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE GIBBERMAN Lcsw 914-222-5269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 084392) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |