| NPI | 1427313170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINGXU XU Owner 718-463-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 260294) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2015-11-03 |