| NPI | 1992546386 |
|---|---|
| Doing Business As | PRIDELINES |
| Entity Type | Organization |
| Authorized Contact | EDWARD SUMMERS Executive Director 347-468-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2024-06-05 |