| NPI | 1659440527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANENTTE SCHOEN Controller 718-833-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 6211452) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2015-06-17 |