| NPI | 1700480050 |
|---|---|
| Doing Business As | OPIOID TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | MICHELE L CUSACK Senior Vice President & CFO 516-321-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2021-02-05 |