| NPI | 1063806016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE J NASTA Executive Director 718-816-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |