| NPI | 1376778183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HENRY BROWN Outpatient Counselor 718-402-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA B0501021448) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |