| NPI | 1316772932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYDEE CARRASQUILLO CEO 929-331-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |