| NPI | 1558733568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA LANTSMAN President 646-683-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 13864114) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |