| NPI | 1942078852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATE CITRO Division Director, Operations 267-439-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |