| NPI | 1114147204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTONACCHIO Coordinator Of Health Services 718-519-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |