| NPI | 1144533548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEYLA I DITTERLIZZI Counselor Ii 718-993-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 17228) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |