| NPI | 1427812213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYASIA TAYLOR CEO 347-476-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 174200000X |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QV0200X Clinic/Center, VA | |
| 305S00000X Point of Service | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-21 |