| NPI | 1235959636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUVIA FRIEDMAN Partner 347-622-3605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |