| NPI | 1639789399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO LUIS O'NEILL President 718-751-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-11-11 |