NPI | 1740617315 |
---|---|
Entity Type | Organization |
Authorized Contact | MAURICE LACEY Executive Director 718-322-3455 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 140710094) |
Enumeration Date | 2013-09-27 |
Last Update Date | 2013-09-27 |