| NPI | 1720377757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDIA KUPIEC Clinician 914-574-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: NY 078510-1) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |