| NPI | 1821272972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANJESKA CAIMARES Medicaid Liaison 646-906-4796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2023-07-26 |