| NPI | 1770860611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH OSBORN Clinical Director 718-549-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 294665-1) |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2011-11-07 |