| NPI | 1033563721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE THOMPSON CEO 718-291-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 001918-01) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 1800189) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-08-03 |