| NPI | 1457368995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LECK DZIE Database Administrator 212-620-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-02-17 |