| NPI | 1811228687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MARIE RYAN Staff Therapist 718-447-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 080531) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2010-01-19 |