| NPI | 1659681138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATMA ABBOUD Executive Director 718-276-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: PA 323P00000X) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |