| NPI | 1528866837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOR R CLIFTON Case Management Specialist 929-698-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-03-10 |