| NPI | 1457101404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GRANT Chief Executive Officer 646-679-8266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |