| NPI | 1891228052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE ANEITA MOSES Director 347-645-5790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: NY 2017011913144756890) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |