| NPI | 1972053387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DIGGS Counselor 212-663-1596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 19828) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |