| NPI | 1508929274 |
|---|---|
| Other Name | MITCHELL MARTIN |
| Entity Type | Organization |
| Authorized Contact | MARINA MATTEI Occupational Therapist Assistant 917-470-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 003295-1) |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2020-08-22 |