| NPI | 1750978771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHLYN THOMAS-RHODES Qualified Professional 646-342-8924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2024-09-04 |