| NPI | 1851165310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANEL NICOLE ELVIN CEO 646-248-2756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |