| NPI | 1275914491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MIROCHNIK Speech Language Pathologist 718-751-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 019776) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-03-09 |