| NPI | 1306577598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILIJHA-ESRAEL BASTIEN Executive Director 929-318-6373 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-04-04 |