| NPI | 1033768759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA MILLER Administrator 718-686-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2050X Respite Care, Respite Care Camp |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |