NPI | 1699170654 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA SUKHOO Program Director 718-205-7012 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: NY 66703-1) |
Enumeration Date | 2014-11-03 |
Last Update Date | 2014-11-03 |