| NPI | 1174233738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA LULGJURAY Director Of Social Services 718-805-6796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2023-02-07 |