| NPI | 1508194283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANDERSON Social Worker 718-265-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 080296) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |