NPI | 1861803629 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERON ELAINE JOSEPH Owner 917-755-5185 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL AL12486) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-05-15 |