| NPI | 1639552045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN EDWARD DAVIS CEO/ Director 718-455-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) (Licence: NY 1865) |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |