| NPI | 1154010742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH ULLMAN Agency Director 845-490-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2025-08-31 |