| NPI | 1740659036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON LAMONT JEAN President, CEO 347-892-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 082977) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |