DAVID WHITE

LATHAM, NY
NPI1801118401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  21759)
Enumeration Date2010-02-23
Last Update Date2010-02-23
Business Address
Mr. DAVID WHITE
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 151-878-3538
Mailing Address
Mr. DAVID WHITE
636 NEW LOUDON RD
LATHAM, NY 12110-4002
Phone number: 151-878-3538