NPI | 1386182152 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE OBIRI-YEBOAH Executive Director 718-496-5778 |
Organization Subpart ? | No |
Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NJ HP0250900) |
Additional Taxonomies | 251E00000X Home Health (Licence: NJ HP0250900) |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NJ HP0250900) | |
Enumeration Date | 2017-02-01 |
Last Update Date | 2017-02-01 |