NPI | 1104372663 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JOSEPH SENESE Co Founder 917-600-8536 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |