| NPI | 1528502630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER K WALLACE Intake Coordination 212-369-7116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 13086) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |