| 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 |