| NPI | 1043755085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GREEN Addiction Counselor 917-201-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 32918) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |