| NPI | 1467028258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GIFTOS Medical Director 212-533-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-02 |