| NPI | 1699519199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SCHAFFER Managing Member 347-728-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2025-09-23 |