| 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 |