| NPI | 1164245783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LOVELADY Executive Director 516-287-2139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |