| Cg&d Alcoholism And Addiction Services, Inc. | |
|
45 Dixon Ave Amityville NY 11701-2809 | |
| (631) 691-0769 | |
| Not Available |
| Full Name | Cg&d Alcoholism And Addiction Services, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 45 Dixon Ave, Amityville, New York |
| Authorized Official Name and Position | Theresa G Cooper (PROGRAM DIRECTOR, CASAC, LPC) |
| Authorized Official Contact | 6316910769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cg&d Alcoholism And Addiction Services, Inc. 45 Dixon Ave Amityville NY 11701-2809 Ph: (631) 691-0769 | Cg&d Alcoholism And Addiction Services, Inc. 45 Dixon Ave Amityville NY 11701-2809 Ph: (631) 691-0769 |
| NPI Number | 1508930694 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508930694 | NPI | - | NPPES |
| 338178 | Other | VALUE OPTIONS | |
| 02153551 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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