| NPI | 1992045447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE THOMPSON Program Director 718-228-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 070000) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |