| NPI | 1972298776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LYNN ROBERTS Supervisor 718-785-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-05-10 |