| NPI | 1861673485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO MATRA CFO 845-279-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2014-10-15 |