| NPI | 1902081524 |
|---|---|
| Other Name | ITTLESON 1101 |
| Entity Type | Organization |
| Authorized Contact | LAURA A GRAY Assistant Controller 914-773-7458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2022-07-21 |