| NPI | 1720892920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNEL DORIS Chief Executive Officer 718-260-2933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-08-06 |