| NPI | 1609665066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE CARABALLO President 914-618-4321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251X00000X Supports Brokerage |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-05-02 |