| NPI | 1508317561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHEAL VERHEY Interim Executive Director 718-948-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: NY 628518) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |