| NPI | 1770980252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CAMPBELL Human Resource Specialist 347-774-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 011517-1) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |