| NPI | 1053970491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE CONYERS Owner/Director 917-673-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2019-06-10 |