| NPI | 1841328358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERN ZAGOR Executive VP COO 718-442-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 6567100A) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |