| NPI | 1255668281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ROY EDELSON President 212-861-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NY MD084582) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |