| NPI | 1710334032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHAVEZ Director 718-963-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY P01491) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |