| NPI | 1184264335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BADENAHMED Executive Director 718-859-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-01-15 |
| Last Update Date | 2020-01-15 |