| NPI | 1427817279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA UKACHUKWU Program Manager 917-251-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-03-14 |