| NPI | 1700218591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE HARDAWAY Program Director 718-272-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0851641) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |