| NPI | 1124131685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KETAY Operations Manager 718-590-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-05-14 |