| 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 |