| NPI | 1639446354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNELANDE COUTARD Occupational Therapist 646-436-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 0147411) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |