| NPI | 1750198719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH NEIMAN Compliance Officer 718-213-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2024-12-13 |