| NPI | 1972932465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA SHATULINA Operations Manager 212-627-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 89756) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |