| NPI | 1265993034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN COLEMAN Executive Director 646-723-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174200000X |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |