NPI | 1720196942 |
---|---|
Entity Type | Organization |
Authorized Contact | SIMON A. ZYSMAN Executive Director 631-361-6960 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 061110768) |
Enumeration Date | 2006-08-28 |
Last Update Date | 2016-11-30 |