| NPI | 1497123574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILI F KNIGHTON Owner 347-664-6873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 18003597) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |