| NPI | 1699408773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DELAROSA Chief Program Officer 929-241-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-08-12 |