| NPI | 1639348022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SR. CATHERINE CRUMLISH Executive Director 718-832-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-03-11 |