| NPI | 1356539332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LHIEL TAGA-OC Occupational Therapist 646-546-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 013588) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |