| NPI | 1982353769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GOLDSTEIN President 718-614-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| 251X00000X Supports Brokerage | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-29 |