| NPI | 1811837529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY ROCHE Director Of Therapeutics 516-902-4714 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |