| NPI | 1255637583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA PRESTON Office Mgr. 914-345-1312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 111011482) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-14 |