| NPI | 1902260888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY PHILIPPE Owner / CEO 347-909-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 001355) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |