| NPI | 1790170637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEASHA L BODRICK Director 347-234-0985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: NY 23315-1) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |