| NPI | 1316361876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH NATHAN CALHOUN Director 845-380-9407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 2129) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |