| NPI | 1871384180 |
|---|---|
| Former Legal Business Name | ANGEL COMMUNITY ALLIANCE,INC |
| Entity Type | Organization |
| Authorized Contact | ANGELICKA JAMES CEO 929-426-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-30 |