| NPI | 1013976976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIYO JIKKO Assistant Controller 212-361-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2025-01-16 |