| NPI | 1568857498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE P WEBB Secretary 718-930-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 078500) |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2015-03-28 |