| NPI | 1447142666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE TIJANI CEO 347-247-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |