| NPI | 1558419762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHOLET DESIR Medical Director 718-398-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 050411459) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2024-12-27 |