| NPI | 1942553441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AEON ANTHONY CLARK Executive Director 347-502-2956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2021-08-08 |