| NPI | 1881922508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY J HAMILTON Social Worker 718-852-5552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 079825-1) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |