| NPI | 1497121271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUNZIO SIGNORELLA Principal 347-675-9873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2015-08-17 |