| NPI | 1730646282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYANA TYI ROBINSON CEO 516-395-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207Q00000X Family Medicine | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-06-20 |