| NPI | 1780139683 |
|---|---|
| Other Name | WOMEN RESIDENCE INTENSIVE RESIDENTIAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DEBBIAN FLETCHER BLAKE CEO 718-583-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2020-06-15 |