| NPI | 1609072602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KELLS Associate Director 212-590-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 070611059) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-08-08 |