| NPI | 1679023717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MCKERNAN Progra M Director For Adults/Adolesc 718-948-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 261QR0405X) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |