| NPI | 1477933505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA YOLOYE Chief Operating Officer 646-472-4453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2015-06-03 |