| NPI | 1982083465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON KING Executive Administrator 718-771-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: NY 160810211) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-06-08 |