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 |