| NPI | 1659450112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE SCHOEN Controller 718-833-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 6211442) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |