| NPI | 1205280955 |
|---|---|
| Other Name | CONVENT RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | BRIAN MCINDOE President & CEO 212-316-7906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 7002243R) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |