| NPI | 1518918101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CARUCCI ROSSI Billing Supervisor 516-520-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-07-22 |