| NPI | 1669574547 |
|---|---|
| Other Name | METHADONE MAINTENANCE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREGSON PIGOTT Com MIS Sioner 631-854-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: NY 040710508) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2020-07-10 |