| NPI | 1528159217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN VASSALLO CFO 516-746-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 090410774) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2021-10-19 |