| NPI | 1720756562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCKDJYNE NEAS CEO 914-269-8019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-09-04 |
| Last Update Date | 2023-05-01 |