| NPI | 1619422490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH SCUDERI Project Manager 516-590-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 103K00000X) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |