| NPI | 1528278017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY WILLIAM BERMAN Partner 631-425-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY RO17615) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |