| NPI | 1104711084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODETTA DEAN Executive Director 917-293-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 174H00000X Health Educator | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-06-11 |
| Last Update Date | 2025-06-11 |