| NPI | 1467810705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LESLIE HUTCHINSON C.E.O. 347-317-9181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 072343) |
| Additional Taxonomies | 251B00000X Case Management (Licence: NY 20049) |
| 251T00000X PACE Provider Organization (Licence: NY 20049) | |
| 251V00000X Voluntary or Charitable (Licence: NY 20049) | |
| 252Y00000X Early Intervention Provider Agency (Licence: NY 20049) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: NY 20049) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 20049) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 072343) | |
| 251S00000X (Licence: NY 072343) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2017-02-27 |