| NPI | 1891837910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMANUEL GENN Associate Dean Of Business Affairs 718-409-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |