| NPI | 1831507573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOHNSON Program Director 212-864-4128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |