| NPI | 1467827915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WULF Executive Program Director 212-632-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P95278) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |