| NPI | 1578805776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE TISNE Associate Director 914-666-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone (Licence: NY 140311794) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2020-03-02 |