| NPI | 1821301045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH CHURCH Director Of Operations 718-409-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 00214) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |