| NPI | 1558048744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L COHN Manager 917-903-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |