| NPI | 1558667600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE CONWAY Executive Director 516-576-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NY 070611542) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2011-03-02 |