| NPI | 1306278726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA WHITMAN Program Director 631-920-8336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 089076) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |