| NPI | 1316904519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J HEGARTY Executive Director 631-782-6501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2022-07-21 |