| NPI | 1356770275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL MCQUEEN President/Owner 347-244-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R042761-1) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2013-11-01 |