| NPI | 1376745075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVINDER P SINGH Occupational Therapist 631-434-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 010516) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |