| NPI | 1750570495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN W RYNN Executive Director 718-317-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 7943430) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |