| NPI | 1184677049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CONWAY Executive Director 516-576-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |