| NPI | 1700385044 |
|---|---|
| Doing Business As | I.C.A.N. FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | STEVEN MOLLER Owner/Managing Member 718-360-3611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-08-15 |