| NPI | 1346386356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN SMITH Program Director 718-390-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-10-02 |