| NPI | 1316112097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMI KADDOURI Medical Director 718-906-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY F303637) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2008-05-08 |