| NPI | 1790193712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE GIULIANO Aed 914-761-0600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |