| NPI | 1457919326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHALIA ENA HILL CEO 917-780-9406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X | |
| 261QM0801X | |
| 261QR1300X Clinic/Center, Rural Health | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |