| NPI | 1013508605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA VICTOME Executive Director 646-500-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |