| NPI | 1821285362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O CORTESE Ma Psychology 917-583-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |