| NPI | 1871696724 |
|---|---|
| Other Name | DAY RPTG CTR ALCOHOL |
| Entity Type | Organization |
| Authorized Contact | JAMES L TOMARKEN Com MIS Sioner 631-854-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY 050411034) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-10-22 |