| NPI | 1275489684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMEY EDWARD WILLIAMS Owner 917-257-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |