| NPI | 1932520129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA LYNN SANGIORGIO RN Nurse 718-227-2466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 671937) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |