| NPI | 1205247756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MAWERE President & Chief Executive Officer 917-584-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2014-05-16 |