| NPI | 1972109015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAFAR ABDUKADIR DANESI Executive Director/Chief Executive 646-239-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2020-12-04 |