| NPI | 1447303797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY T RUSSO Director Of Finance 516-626-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-07-24 |