| NPI | 1346088036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL ROSENBERG Managing Partner 516-457-5015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |