| NPI | 1023964848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VENTOUR Executive Director 917-379-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2026-03-05 |
| Last Update Date | 2026-03-05 |