NPI | 1033639307 |
---|---|
Entity Type | Organization |
Authorized Contact | ARON GITTLESON CEO 718-931-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
323P00000X Psychiatric Residential Treatment Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2024-03-06 |