| NPI | 1134458656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNYE NASH Director 914-421-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 110510853) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |