| NPI | 1295411817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YERUCHEM BIDERMAN CEO 917-842-3951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2024-01-18 |