| NPI | 1992873103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN SHIPMAN Director Of Finance 212-971-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 051011486) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-09-21 |