| NPI | 1265557847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CORRADO Chief Operating Officer 718-722-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-07-25 |