| NPI | 1912376062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD WILLIAMS President/CEO 212-427-1342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |