| NPI | 1003015694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDE ALEXANDRE VP Of Integrated Health Services 718-422-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2025-12-10 |