| NPI | 1912616202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK BROWN CEO 718-791-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-11-16 |
| Last Update Date | 2022-11-16 |