| NPI | 1225255888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PEREZ Billing 718-585-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY C071211390) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |