| NPI | 1326392515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURI GRUEN Program Director 917-440-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 1817326) |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-09 |