NPI | 1417327016 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW J ERVIN CEO 646-661-2537 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
103TC1900X Psychologist, Counseling | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
Enumeration Date | 2015-09-25 |
Last Update Date | 2015-09-25 |