| NPI | 1295019529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNGEUN KIM Phyiscal Therapist 646-270-6313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ 40qa01165400) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2017-12-05 |