| NPI | 1275610545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS FISHMAN Director 914-683-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 060810830) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-02-27 |