| NPI | 1619537271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA REYES A/R Supervisor 516-626-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |