| NPI | 1578798534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY SHESTAKOVSKY President 718-996-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 020632) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2012-02-16 |