| NPI | 1649600289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANN THARAKAN RN 516-993-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: CA 798212) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |