| NPI | 1053729111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZIA YOSHIKA LUKE Owner/Speech Langauage Pathologist 718-986-9306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NY 0233701) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 0233701) |
| 251S00000X Community/Behavioral Health (Licence: NY 0233701) | |
| 310400000X Assisted Living Facility (Licence: NY 0233701) | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances (Licence: NY 0233701) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NY 0233701) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: NY 0233701) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |