| NPI | 1962671479 |
|---|---|
| Other Name | YOUNG ADULT INST SHEEPSHEAD |
| Entity Type | Organization |
| Authorized Contact | ROBERT PITTI Director Accts Receivable 212-273-6625 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: NY 6113427) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-09-10 |