NPI | 1396047676 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY GELLES Executive Director 914-636-4440 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 613936) |
Enumeration Date | 2010-11-19 |
Last Update Date | 2010-11-19 |