| NPI | 1285274019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHELALES Administrator 646-285-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2024-06-26 |