| NPI | 1235760927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUIL KALENDAREV CEO 718-496-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2020-01-31 |