| NPI | 1811361728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MADRAY VP Of Health Services & Comm. Based 718-206-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-04-14 |