| NPI | 1114242179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J KROLL CEO 212-475-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 101211709) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |