| NPI | 1275420689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR DARIO REYES Administrator 917-771-9827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2026-03-23 |