| NPI | 1801231352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM SHEIKH Member 516-776-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |