| NPI | 1154061398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER B ASIEDU Administrator 914-417-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-03-29 |