| NPI | 1669129219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAURDERDALE Manager 845-205-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |