| NPI | 1124195904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGOT A ANDERSON Business Manager 914-277-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 01154030) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |