| NPI | 1609350800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUV TOISHEA FRIEND CEO 917-439-6563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |