| NPI | 1467169698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB GRUNHUT Owner 845-825-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2023-06-06 |