| NPI | 1891409579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BELL Founder 347-872-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 174200000X |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QP2300X Clinic/Center, Primary Care | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-09-13 |