| NPI | 1154669661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M LERNER Executive Director 718-858-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2016-09-06 |