| NPI | 1386961795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT GRAY President 212-684-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 166679) |
| Enumeration Date | 2010-04-24 |
| Last Update Date | 2010-04-24 |