| NPI | 1063631737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERSHON CLARKE CEO 718-949-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-09-02 |