| NPI | 1063819738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDHAT H ELNAZER President 929-245-0631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 033753) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2017-12-13 |