| NPI | 1336904044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AME IYAMU Program Director 917-485-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |