| NPI | 1629306055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE PAGAN Counselor 212-679-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 5542) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2009-11-23 |