| NPI | 1942627062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FONTAINE Occupational Therapist 917-981-0827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 0180881) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-28 |