NPI | 1609047455 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY AMBROSE Billing Officer 718-498-5555 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2008-03-20 |
Last Update Date | 2008-03-20 |