| NPI | 1174909584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYNE PIARD Administrator 718-307-2347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |