| NPI | 1174069264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOLLYWOOD VP, Residential Treatment 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 170110040) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-20 |