NPI | 1477299683 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL GOLDNER Authorized Person 516-727-1634 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-09-08 |