| NPI | 1235501313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MADRAY VP Of Health Services & Comm. Based 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-11-15 |