| NPI | 1811006810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNYE WALTERS NASH CEO 914-949-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |