| NPI | 1699181487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GRAHAM Executive Director 718-922-1627 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: NY 246212) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 171000000X Military Health Care Provider | |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |