| NPI | 1194918805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE ROGERS Lpn 718-588-0759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 275662) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2007-09-10 |