| NPI | 1134970023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GREENE Program Director 917-936-6288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |