| NPI | 1336464965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAN DANIEL ROBIN Senior Counselor 631-306-5770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 080833-1) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |