| NPI | 1265795454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE GUSTAVE CEO 347-471-4707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 120124000198) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |