| NPI | 1790640894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATTERSON Owner 917-498-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2025-12-20 |