| NPI | 1972775146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BENENATI Controller 718-422-2204 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2022-07-21 |