| NPI | 1699206110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANNE GIAMPETRUZZI Msw 917-743-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 47541) |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2017-03-26 |