| NPI | 1215719174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA T GOLDFEDER Owner 516-870-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2025-02-21 |