NPI | 1285434134 |
---|---|
Entity Type | Organization |
Authorized Contact | SHMUEL GOTTLIEB VP 347-786-1157 |
Organization Subpart ? | No |
Primary Taxonomy | 251X00000X Supports Brokerage |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-03-18 |