| NPI | 1073722286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA MATOS Executive Director 718-665-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 090111295) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-07-09 |