| NPI | 1114622099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODIAN WALTERS CEO 914-514-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251X00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-05-17 |