| NPI | 1336566694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BUTCHEN President 516-520-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 141211343) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 141211343) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2018-11-07 |