NPI | 1508280504 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL LERNER Vice President 718-236-4268 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 018396-1) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2014-04-13 |