| NPI | 1629633193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN ZEV FRIEDMAN Managing Partner 917-605-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |