| NPI | 1760728430 |
|---|---|
| Doing Business As | CARE FOR THE HOMELESS WILLOW AVENUE FAMILY RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | REGINA FLYNN OLASIN Cmo 212-355-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 70000279R) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2019-03-28 |