| NPI | 1942922794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY L COLEMAN Chief Financial Officer 718-316-7508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-16 |