| NPI | 1679631261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MURRAY Board Member 718-934-2592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-08-28 |