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 | 2024-10-28 |