| NPI | 1841175957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CLEGG Owner 646-899-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |