| NPI | 1750301180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE GONZALEZ Pres/CEO 212-268-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 070711041) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2026-07-29 |