| NPI | 1548740418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MOLLER President/ CEO 516-887-2962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |