| NPI | 1275651325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ROBANO-GROSS Executive Director 631-361-9020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-08-01 |