| NPI | 1013437540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHALL MONIQUE HILL Owner 845-728-9166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2022-07-21 |