| NPI | 1538869524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLIN PRYOR Owner 631-944-0969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-08 |