| NPI | 1366561235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KEELAN Social Worker 718-523-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: NY 070155) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |