| NPI | 1487783932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MATRA CFO 845-279-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 322D00000X) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2014-11-06 |