| NPI | 1699479873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAIM NEIMAN Owner 845-445-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2024-12-13 |