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 | 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 |