| NPI | 1508099417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSANDR DEKHTYAREV President 1917-538-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 030526) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |