| NPI | 1366685430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LOTTENBERG Director 718-238-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0685841) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2009-04-19 |