| NPI | 1346379856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BULLOCK Program Director 718-829-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY C070511553) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |