| NPI | 1720441462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FOX Licensed Practical Nurse 917-530-1473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 290103) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |