NPI | 1992979744 |
---|---|
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 (Licence: NY 02254373) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-04-14 |