| NPI | 1144622549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG AXENFELD Chief Financial Officer 718-906-5440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |