| NPI | 1760947824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VINGO Owner/Director 914-462-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |