| NPI | 1689521429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GANDU Director/Owner 646-530-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |