| NPI | 1952036303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL FEREN Chief Operating Officer 347-630-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |