| NPI | 1477433258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA THOMAS CEO 718-276-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |