| NPI | 1285314609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEGO A PONIEMAN Owner 212-865-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |