| NPI | 1043190226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WOLF Partner 646-275-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-06 |
| Last Update Date | 2026-05-01 |