| NPI | 1588394472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN JAMES CAMPBELL CEO/Owner 516-474-1951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-06-14 |
| Last Update Date | 2023-06-13 |