| NPI | 1417571639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MADRAY Vice President 718-292-2240 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |