| NPI | 1497707806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNEL DORIS Chief Excecutive Officer 718-260-2933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 7001214R) |
| 261QM2800X Clinic/Center Methadone (Licence: NY 071110353) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-08-06 |