| NPI | 1164549119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MARIE KARKUS Medical Director 646-672-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 071211257) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-01-12 |