| NPI | 1487376513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JUDGE Executive Director 646-314-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |