| NPI | 1104990928 |
|---|---|
| Other Name | LONG ISLAND JEWISH COMMUNITY RESIDENTS PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHELE LEE CUSACK Senior Vice President & CFO 516-876-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2018-11-28 |