| NPI | 1558553420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BOHENSKY Clinical Director 212-749-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 012472) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |