| NPI | 1760269054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN EVANS President 914-382-3657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |