| NPI | 1457790776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIOUS CONWAY CEO 718-514-4560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-10-16 |