| NPI | 1912146580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS O'DELL CEO 516-671-1253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2014-11-14 |