| NPI | 1629841895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESIMA ANN MAJEMITE Administrator 929-228-8250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |