| NPI | 1528213527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE VAUGHN Student Intern 718-951-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |