| NPI | 1063193423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG PLUMMER Reverend, Owner 917-645-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-01-17 |