| NPI | 1043085608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS A. BAEZ Executive Director 718-530-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-22 |
| Last Update Date | 2023-11-22 |