| NPI | 1164758454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRAH STRAW Hr Manager 1212-585-6115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 007068-1) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |