| NPI | 1962944405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GOLDSMITH Executive Director 516-822-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |