| NPI | 1124063862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BALCOM CFO 516-733-7032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 6814431) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2016-05-24 |