| NPI | 1073249728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHRAF A SHARHAN President 929-321-2290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |