| NPI | 1013150531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE BACCHUS Asst Controller 212-385-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2019-03-04 |