| NPI | 1447624150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEQUA E MOORE CEO 718-725-8996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 083529) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |