| NPI | 1669858304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROECHARD EBANKS CEO 914-584-2395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |