| NPI | 1205259793 |
|---|---|
| Doing Business As | EAST SIDE RECOVERY SERVICES |
| Entity Type | Organization |
| Authorized Contact | KEVIN ELLIOT BAILL President 917-447-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: RI 12179) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-03-13 |