| NPI | 1962862987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DEMMA Director 212-679-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |