| NPI | 1477264091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SHKLYAR Officer 516-343-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |