| NPI | 1609368307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE DELEON VP Revenue Cycle 845-217-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 310500000X Intermediate Care Facility, Mental Illness | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2022-08-05 |