| NPI | 1710027123 |
|---|---|
| Other Name | BROOKLYN DC T SHIRTZ #2 ICF |
| Entity Type | Organization |
| Authorized Contact | KARLA SMITH Director Of Central Operations 518-402-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 00235626) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2008-06-26 |