| NPI | 1770885451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINHOON CHOE Medical Director 914-632-1374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 536603) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |