| NPI | 1851712863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE K. TERRY VP Of Operations 845-659-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2013-12-17 |