| NPI | 1588959852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN SMITH Owner/Director 646-269-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2016-05-25 |