| NPI | 1376057398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNKE CINDERELA AJIBOYE Executive Director 917-497-6791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |