| NPI | 1114728540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUNGJU KIM Admistrator 646-226-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |