NPI | 1518529452 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORA CARRERO Director Of Credentialing 718-408-6522 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Enumeration Date | 2019-07-01 |
Last Update Date | 2019-07-01 |