| NPI | 1336732940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABEL ASAFERE Owner/Founder 929-422-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 225800000X Recreation Therapist | |
| 235500000X Specialist/Technologist | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 372600000X Adult Companion | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 133NN1002X Nutritionist Nutrition, Education | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2024-11-21 |