| NPI | 1285434423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN NEUMAN CFO 917-444-2147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-03-17 |