| NPI | 1578341194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SIMPSON GRIFFIN CFO 914-220-4319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |