| NPI | 1114843679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K PADDOCK Owner 845-325-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2026-06-27 |
| Last Update Date | 2026-06-27 |