Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic

NPI 1164435244 - Counselor - 101YA0400X

NPI Details
NPI 1164435244
Enumeration Date 08/13/2006
Last Updated 07/17/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STANLEY E STANLEY
Position OWNER
Phone (315) 963-0777
Fax (345) 963-0611
Practice Location
3358 MAIN ST
MEXICO NY, 13114, US
Phone (315) 963-0777
Fax (345) 963-0611
Business Location
PO BOX 716
3358 MAIN ST
MEXICO NY, 13114, US
Phone (315) 963-0777
Fax (345) 963-0611
Toxanomy
Taxonomy Code 101YA0400X
License State
License Number
Remove 1164435244 NPI Number
 

According to our database, Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic NPI is 1164435244, taxonomy code is 101YA0400X Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic physically located at 3358 Main St, Mexico NY, 13114. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1164435244 NPI number is provided on an as is basis without warranty of any kind. 1164435244 is maintained by the National Plan & Provider Enumeration System. The contents of Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic are for informational purposes only.