| NPI | 1043171614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANOVA S MITCHENER Owner 718-924-0443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2025-11-21 |
| Last Update Date | 2025-11-21 |