| NPI | 1780139683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIAN FLETCHER BLAKE CEO 718-583-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2025-08-19 |