| NPI | 1669118998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMANDA NELSON President/ CEO 917-569-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-21 |