| NPI | 1003516949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA ORTIZ CEO 718-427-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |