| NPI | 1003262387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE WARREN Program Director 718-666-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 19202) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |