| NPI | 1417316530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M SELFRIDGE President 347-621-6174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2025-09-30 |