| NPI | 1033915046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILLIAN CHARLEAU Chief Executive Officer (CEO) 718-815-7284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |