| NPI | 1124995329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL SAMUEL CEO 212-285-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-10-21 |
| Last Update Date | 2025-10-21 |