| NPI | 1841528056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA SIERRA Owner 516-790-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 111223) |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2009-11-28 |