| NPI | 1770835381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WALSH Human Resource Director 718-442-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 087650) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |