| NPI | 1467780718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH-ANN BORRIELLO Staff Therapist 718-447-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 080366) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |