| NPI | 1053866954 |
|---|---|
| Other Name | MEN'S RESIDENCE INTENSIVE RESIDENTIAL PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DEBBIAN FLETCHER-BLAKE CEO 718-583-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2020-06-15 |