| NPI | 1861267411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSOUMANI CADEAU Chief Executive Officer 347-720-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |