| NPI | 1174489199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA GRANTT Program Director 646-248-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 344600000X Taxi | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2026-01-03 |
| Last Update Date | 2026-01-03 |