| NPI | 1225838493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE DEMORIN CEO 347-435-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251B00000X Case Management | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |