| NPI | 1811254139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L LOWY Interim Co Executive Director 718-401-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-09-11 |