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 |