| NPI | 1811233786 |
|---|---|
| Doing Business As | CARE FOR THE HOMELESS ST JOHN'S BREAD AND LIFE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DEBBIAN FLETCHER BLAKE Assistant Executive Director 212-366-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 70000279R) |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2015-04-17 |