| NPI | 1033438023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENET OBINNA UGWU Director 347-248-5643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2010-05-31 |