| NPI | 1316149420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TOWNER President 718-743-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NY 183466) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-09-25 |