| NPI | 1235973942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI MANDEL Director, Revenue Management 347-907-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |