| NPI | 1982756227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONA MERLE CRAWFORD Social Work Supervisor 212-939-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NY 070474) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |