| NPI | 1194588913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICK OWINO JUMA Administrator 917-822-1687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |