| NPI | 1811193915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY CORVALAN Accountant 845-680-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: NY 6399431) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |