| NPI | 1922540145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA LUISA MANON Director Of Revenue Cycle Manager 347-505-5117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2025-01-30 |