| NPI | 1922433606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA KAM Vice President 929-800-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2022-07-21 |