| NPI | 1356617476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SLAYBACK Program Director 718-981-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 1301111022) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |