| NPI | 1588375281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM FRIED CEO 848-223-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |