| NPI | 1326417676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M. ROSS Owner 212-696-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |