| NPI | 1528554912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA CARRERO Director Of Credentialing 718-408-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-10 |