| NPI | 1164049078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ANN COOMBS-ROSE Executive Director 718-272-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |