| NPI | 1073619839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAHONEY KAMENKER Medical Billing Coordinator 718-969-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 070310077) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |