| NPI | 1861948499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE MADISON CEO 917-468-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-03-13 |