| NPI | 1558448159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HULTEN CEO 914-277-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: NY 7512440) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-06-29 |