| NPI | 1063223378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ANTEKELYAN CEO/President 914-482-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-27 |