NPI | 1730420985 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD WAYNE BETHEA Clinical Director 718-802-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 003346) |
Enumeration Date | 2013-03-13 |
Last Update Date | 2013-03-13 |