| NPI | 1205516234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECHIA BROWN Manager 718-801-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |