| NPI | 1619778727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKENYA DANIELS Owner 347-845-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 405300000X Prevention Professional |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-04-07 |