| NPI | 1447663067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ELISHA GRANT Administrator 914-699-4294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 800-F-986) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |