| NPI | 1467882878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM BIERMAN Executive Director 516-319-7041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2015-04-29 |