| NPI | 1215759550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JONES Owner 917-405-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2026-07-31 |