| NPI | 1346718889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA JOHNSON Assistant Director 212-564-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |