| NPI | 1881018505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN A SNYDER Sole Proprietor 914-505-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 11656) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 6018) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |