| NPI | 1487338414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA G SHIELDS CEO 347-210-0823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-06-04 |