| NPI | 1861644148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA ESTHER LA ROSA Therapist 718-526-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 075177-1) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |