| NPI | 1457486938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTHONY STASSI Executive Director 631-218-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 071011427) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |