| NPI | 1497287981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANGEUN LEE Executive Director 718-650-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05552100) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |