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 |