NPI | 1215788112 |
---|---|
Doing Business As | PLATINUM RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | LORI BENKEL Administrator 917-520-7297 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2024-03-28 |
Last Update Date | 2024-03-28 |