| NPI | 1811195548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RAMSIS BISHAY Owner 917-514-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 022012-1) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |