| NPI | 1235277013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA COLON Social Worker 718-543-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-08-22 |