| NPI | 1659072858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DOUGLAS ALLEN Assistant Secretary Legal 845-620-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |