| NPI | 1336642040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAJI ADAN Executive Director 315-214-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |