| NPI | 1104298363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MADRAY VP Of Health Services & Community B 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-04-29 |