| NPI | 1033659263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GRISET Cl.Supervisor 718-542-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 21275) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |