| NPI | 1316690159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILKA PENA President 973-757-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-07 |