| NPI | 1366863219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M BENENATI Managing Director Of Finance 718-422-2204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |