NPI | 1306475751 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN ROSS Chief Executive Officer 917-903-7445 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-04-07 |
Last Update Date | 2023-12-28 |