| NPI | 1467396036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY JOHNSON Executive Director 347-526-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |