| NPI | 1114305406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRUCILLA L WILLIAMS Chief Operating Officer 917-645-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 084745) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |