| NPI | 1497971741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PEREZ Billing Manager 718-585-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY C09110554) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |