| NPI | 1740648161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANDA TARRY CEO/Clinician 1800-334-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 072103) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-01-29 |