| NPI | 1023212818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PRADIEU PT A 718-645-6454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 0028151) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |