| NPI | 1750827432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE ELENA FLANAGAN Lmsw/ Addiction Counselor 631-360-7578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 094530-1) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |