| NPI | 1457508061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN VASSALLO CFO 516-745-0350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 9206430) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |