| NPI | 1720327794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E MC FALL Counselor 718-981-4382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 005200-1) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-27 |