| NPI | 1508045303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BOSNACK Chief Financial Officer 718-321-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2016-11-04 |