| NPI | 1104528447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAIN PIERRE NAHIMANA Administrator 718-207-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |