| NPI | 1659185338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLVIN PINEDA Credentialing Coordinator 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |