| NPI | 1619716289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CODY Accounts Receivable Manager 516-622-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |