| NPI | 1013577493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI MANDEL Director, Revenue Management 212-273-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |