| NPI | 1588051072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MESTECKY Com PT Roller 718-658-1123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 069563) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |