YASU CABALLERO

PORT JERVIS, NY
NPI1427409119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY  25298)
Enumeration Date2016-06-24
Last Update Date2016-06-24
Business Address
MR. YASU CABALLERO NYS CASAC
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-856-7576
Mailing Address
MR. YASU CABALLERO NYS CASAC
123 PIKE ST
PORT JERVIS, NY 12771-1824
Phone number: 845-856-7576
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