| NPI | 1578103214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOTT LIEBHARD CEO 917-374-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |