| NPI | 1578147856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUSHMA SHAH Director Of Business Development 267-940-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-05-12 |