NPI | 1770162588 |
---|---|
Doing Business As | LONG ISLAND TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | JESSE REUTER Owner 954-425-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2021-04-07 |
Last Update Date | 2022-07-21 |