| NPI | 1215246921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ARCHIE Executive Director 516-354-0579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NY 03184049) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |