| NPI | 1134253263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUNO LA SPINA Chief Executive Officer 631-231-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 01304530) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-05-19 |