| NPI | 1346768686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSETH RUSSA Chief Executive Officer 862-754-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |