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 |