| NPI | 1275858847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND BLIXT Executive Director 917-596-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |