| NPI | 1295223147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALVATORE J. JOHNSON CEO 917-250-9323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |