| NPI | 1710450739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHSUA THOMAS CEO/Executive Director 718-276-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 251S00000X Community/Behavioral Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2025-10-17 |