| NPI | 1700259942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ORTIZ Associate Director 917-492-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 161011947) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |