| NPI | 1639682552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SAULTERS Owner 347-218-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 133N00000X Nutritionist |
| 251300000X Local Education Agency (LEA) | |
| 251F00000X Home Infusion | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QP3300X Clinic/Center Pain | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |