| NPI | 1477163640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA THOMAS-RICHARDSON CEO 718-696-8124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |