| NPI | 1811517188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA N CARGO President 646-875-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 174200000X Meals | |
| 251S00000X | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 310400000X Assisted Living Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |