| NPI | 1093669277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEXIE WALKER Chief Operating Officer 516-513-1256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |