| NPI | 1558195701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW RYAN O'CONNOR Owner/ CEO 646-872-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-30 |