| NPI | 1174934889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL ANTHONY SIERRA Substance Abuse Counselor 718-827-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 29778) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |