| NPI | 1336576164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONIFACE EZE President & CEO 917-209-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 071093) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |