| NPI | 1992213433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA WASHINGTON CEO 718-612-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD LC5430) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |