| NPI | 1043934508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES HERRERA CEO 347-222-9933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2024-08-30 |