| NPI | 1962719427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTHER EDUKUYE Director 347-886-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: GA 031-01-256-1) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |