| NPI | 1780091769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALLY JIMENEZ Ei Service Coordinator 718-816-3513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: NY 1619049343) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |