| NPI | 1174801633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE RAHMEY Mental Health Counselor 917-838-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2011-08-01 |