| NPI | 1790115897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN JOSEPH ROMANI Business Consultant 347-622-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |