| NPI | 1205374709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA BROOKS President 917-603-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261Q00000X Clinic/Center | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-20 |