NPI | 1669259347 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA BROADWAY Director 914-471-1055 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
261QR0800X Clinic/Center Recovery Care | |
385HR2050X Respite Care Respite Care Camp | |
Enumeration Date | 2023-09-14 |
Last Update Date | 2023-09-14 |