| NPI | 1427222850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CORLIN Clinical Director 718-851-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 024085) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |