| NPI | 1053714055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHANNA ALERGANT Program Director 917-734-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2016-04-12 |