| NPI | 1508072117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ELAINE LOMAX CEO 718-276-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 6130) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R054349) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |