| NPI | 1508930694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA G COOPER Program Director, Casac, Lpc 631-691-0769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-02-26 |