| NPI | 1003788316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIMON KOPERSHTOCK Administrator 917-586-9756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |