| 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 |