| NPI | 1093297673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CHELALES Administrator 646-285-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-10-11 |