| NPI | 1801093893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD GROSS Director 212-571-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |