| NPI | 1730369760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE GELBTUCH Entitlement Specialist 718-854-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 320900000X) |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2021-01-04 |