| NPI | 1639756406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SALVO Senior Vice President 718-240-6374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2024-11-11 |