| NPI | 1700446655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D ALLEN Assistant Secretary Legal 845-620-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2019-06-13 |