| NPI | 1205048105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONOVAN MURRAY Senior Vice President, Finance/CFO 646-588-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 7712440) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-12-14 |