Freeport Pride

NPI #1144619966 in Freeport, New York

Provider Information

NPI Number: 1144619966
Entity Type: Organization
Organization Name: Freeport Pride
Primary Specialty: Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date: Jan 16, 2015
Last Updated: Jan 16, 2015

Practice Location

Address: 33 GUY LOMBARDO AVE
City: Freeport
State: New York
ZIP Code: 11520-3637
Phone: (516) 546-2822

Authorized Official

Name: MS. YOLANDA CARRION, LCSW, CASAC
Title: ASSISTANT DIRECTOR
Phone: (516) 546-2822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder	261QR0405X	Primary

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