| NPI | 1205345527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAKIMA GONZALEZ Executive Director/ Owner 347-605-3518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NJ 44SC05429200) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |