| NPI | 1548710379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MADRAY VP Health Services 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 096879) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |