| NPI | 1043379332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON DERIENZO Chief Financial Officier 347-649-3083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2018-07-02 |