| NPI | 1659082568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN HOWARD Member/Administrator 845-505-4961 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2022-12-12 |