| NPI | 1932352085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA IVEY-TOURE Exc Director 718-362-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 2635) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: NY 2669) |
| 251S00000X Community/Behavioral Health (Licence: NY 4419941) | |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |