| NPI | 1144206376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY WOLFF Executive Director 516-374-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 111111043) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2021-08-31 |