| NPI | 1265092514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL MATTHEW CEO 917-924-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-04-12 |