| NPI | 1619345303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA BEVILACQUA President 914-290-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 088722788) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |