| NPI | 1609476357 |
|---|---|
| Other Name | OTP |
| Entity Type | Organization |
| Authorized Contact | LUKA SURAMELI Director Of Behavioral Health 212-523-5639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2022-10-26 |