| NPI | 1386181568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKISHA COLLINS Director 646-600-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 609775) |
| Additional Taxonomies | 251S00000X (Licence: NY 609775) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |