| NPI | 1013141639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KOMISSARENKO President 848-391-8547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |