| NPI | 1033099379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DASHAWN DERRICK HOLMES Executive Director 929-459-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 171M00000X Case Manager/Care Coordinator | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 177F00000X Lodging | |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-10-06 |