| NPI | 1033534318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA GHITA Counselor/Psychologist 917-414-1389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 2575097) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |