NPI | 1922668441 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSH ALOMIA COO 718-931-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 251S00000X |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2019-12-31 |