NPI | 1639756406 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALLEN PALERMO CFO 718-240-8515 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-03-26 |
Last Update Date | 2021-03-26 |