| NPI | 1972962652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLETTA SKLAVOUNAKIS Clinical D Irector 347-732-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 000918) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |