| NPI | 1124452057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIS RAFAEL PEGUERO Psychologist 917-279-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NY 014641) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |