Organization · Type 2 NPI

Silver Lake Support Services, Inc

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1336363530 Active

Practice location

201 Forest Ave
Staten Island, NY 10301-2763

Fax (718) 815-3151

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X061110987 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

22 other providers at this address

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About NPI 1336363530

Silver Lake Support Services, Inc's National Provider Identifier is 1336363530, issued on Apr 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jun 17, 2010.