| NPI | 1457222564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUERRECHON CHATELAIN Manager 718-841-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QR0800X Clinic/Center, Recovery Care |
| Enumeration Date | 2025-09-13 |
| Last Update Date | 2025-09-13 |