| NPI | 1588900740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA DUBOIS Rehab Aide 718-639-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 669595172) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |