| NPI | 1275268849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVID L HALON Executive Director 347-452-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 251E00000X Home Health | |
| 251S00000X | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |