| NPI | 1679252142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKOSI APPLEWHITE CEO 917-497-7919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |