NPI | 1528815867 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM NORONHA Administrator 516-426-6839 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
Enumeration Date | 2024-05-03 |
Last Update Date | 2024-05-03 |