| NPI | 1568018505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY ALTINA SANJURJO Chief Executive Officer 917-544-3151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |