| NPI | 1023208048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATRIZ DIAZ TAVERAS Executive Director 212-371-1011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 0312954) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2012-12-20 |