| NPI | 1043989403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK M COLLISON President 646-416-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 344600000X Taxi | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 311Z00000X Custodial Care Facility | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2025-11-22 |