| NPI | 1235206327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAWA U. JALLOH Chief Executive Officer 212-293-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 061211447) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 091211439) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 091211439) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NY 061211439) | |
| 163W00000X Registered Nurse (Licence: NY 061211447) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: NY 061211439) | |
| 164W00000X Licensed Practical Nurse (Licence: NY 061211447) | |
| 246RP1900X Technician, Pathology Phlebotomy (Licence: NY 061211439) | |
| 261Q00000X Clinic/Center (Licence: NY 080810643) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NY 080810643) | |
| 363L00000X Nurse Practitioner (Licence: NY 061211439) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 061211447) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 061211439) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 061211439) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2022-05-04 |