| NPI | 1992069967 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | YURIY ZHUKOVSKIY House Staff Physhishian 917-744-1681 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |