| NPI | 1962840496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WEXLER Program Director 718-948-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |