| NPI | 1790852259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MAFFEI CFO 212-244-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-06-18 |