| NPI | 1669916649 |
|---|---|
| Doing Business As | CHANCE FOR CHANGE |
| Entity Type | Organization |
| Authorized Contact | EMILY JOHNSON Social Worker 917-677-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 180811623) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |