| NPI | 1548698541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON INGRAM Lpn 845-871-1057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 228593-1) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |