| NPI | 1467826388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESSICA HUGGINS Social Worker 212-283-2768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 034873) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 034873) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2015-11-16 |