| NPI | 1679117113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMIL PEREZ CONCEPCION Owner/President 315-802-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2021-05-12 |