| NPI | 1932444197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY CORNACHIO Executive Director 718-257-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 655262-1) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |