| NPI | 1801970991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA WILDMAN Director 718-253-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: NY 9815L001) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |