| NPI | 1669644894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE D CHARLES Executive Director 516-292-6441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 02085358) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-10-09 |