| NPI | 1992504252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUES LAVENTURE Director 929-541-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 174200000X Meals |
| 251S00000X Community/Behavioral Health | |
| 251X00000X Supports Brokerage | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |