| NPI | 1831643816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER CAMPBELL Billing Coordinator 718-498-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 161010577) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |