| NPI | 1750797825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOCHEVED WASSERMAN Supervisor 718-676-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA 1-08-4858) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |