| NPI | 1104332386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRAHAM SCHICK President 917-743-6302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-12-24 |
| Last Update Date | 2017-12-24 |