| NPI | 1093397002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ALEXANDER MONTGOMERY President 914-522-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |