| NPI | 1215583372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSUELO R ESCALONA FONSECA Owner/President 929-330-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-07-19 |