NPI | 1124423520 |
---|---|
Entity Type | Organization |
Authorized Contact | FERNANDO TAVERAS Owner/Physician 212-256-0725 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2014-10-28 |
Last Update Date | 2014-10-28 |