| NPI | 1942001276 | 
|---|---|
| Doing Business As | REST RECOCOVERY | 
| Doing Business As | REST RECOVERY | 
| Entity Type | Organization | 
| Authorized Contact | ALEXA MOEFWNEORH Administrator 631-220-0630  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-03-22 | 
| Last Update Date | 2025-03-22 |