| NPI | 1306382734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAYLA ROSS Executive Director 646-824-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |