| NPI | 1578006300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRAN RODRIGUEZ CEO 212-924-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NY 6758110A) |
| Additional Taxonomies | 251S00000X (Licence: NY 6758101A) |
| 251S00000X (Licence: NY 6758102A) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 06482440) | |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |