| NPI | 1275138653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOUCHEKA DESROSIERS Chief Executive Officer/President 347-557-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-04-22 |