| NPI | 1003008301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CONDLIFFE Executive Director 917-301-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| 251B00000X Case Management | |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2025-09-26 |