| NPI | 1972862209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH EDWARD CARTER Founding Director 718-406-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 079590) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |