| NPI | 1558556357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE WALLACE-MOORE Executive Director, Liberty Mgt. 888-227-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 080410665) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2021-04-29 |