| NPI | 1194802603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HARRISON Executive Director 718-256-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |