| NPI | 1710196134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MELISSA MARABLE Billing Coordinator 646-395-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 080610221) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2018-10-17 |