| NPI | 1376686519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONN CORRADO Executive Secretary 718-722-6123 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-07-09 |