| NPI | 1700139466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ESTHER LA ROSA Clinical Director 917-562-7354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY R075177-1) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-04-11 |