| NPI | 1851707590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ANTHONY RODRIGUEZ Clinical Director 914-949-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |