| NPI | 1295859056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA SCHNEIDER Incorporator 212-217-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NY 215559) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |