| NPI | 1427368612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN TOBING-PUENTE Owner 917-838-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 016789) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |