| NPI | 1326506502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MASSIAH Operations Manager 646-528-9846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 261QP2400X Clinic/Center, Prison Health | |
| 174400000X Specialist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-08-20 |