| NPI | 1922252089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG ALLEN REDMON COO 646-512-1620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 239456258) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |