| NPI | 1295108736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A. MAFFEI Executive Director 212-244-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 7276451) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |