NPI | 1437103819 |
---|---|
Other Name | HARBOR LIGHT COMPLEX |
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN SOUTHWICK Secretary 845-620-7329 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2006-05-20 |
Last Update Date | 2017-08-15 |