| NPI | 1578887642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GONZALEZ Owner/CEO 212-268-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 21223) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |