| NPI | 1114148426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA RAMPERSAUD Controller 516-489-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-10-27 |