| NPI | 1427757533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHLOMO SMITH CEO 848-480-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-02-28 |