| NPI | 1568961829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA IRENE ADAMS License Of Mental Health Counselor 718-206-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY 000953) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: NY 000953) |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NY 000953) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |