| NPI | 1174273106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF EVANS Director Of Admissions 646-761-9659 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |