| NPI | 1356784979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAYA M. BOGOMILSKY Program Director 718-452-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-10-02 |