| NPI | 1104668912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDHI SAGHAL Owner 718-618-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-09-04 |