| NPI | 1104639376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL EDERY COO 516-708-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |