| NPI | 1982331310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GREENBERG Business Manager 914-907-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2023-08-14 |