| NPI | 1053558940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD T DERR Chief Financial Officer 516-626-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |