| NPI | 1194993675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK BARTHOLOMEW WENNING Owner 646-712-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 026757-1) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |