| NPI | 1336449222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIOMARA AMANDA MIGLIORINO Substance Abuse Counselor 212-585-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 110110619) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |