| NPI | 1730910522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS BURGESS Founder 516-403-7519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |