| NPI | 1255469896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANNMARIE OLIVER Clinical Social Worker 718-430-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: NY 067708-1) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |