| NPI | 1174258396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE CASSEUS Secretaire 347-933-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X | |
| 251K00000X Public Health or Welfare | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-08-03 |