Five Towns Community Center Coda Program
NPI #1235256256 in Lawrence, New York
Provider Information
- NPI Number
- 1235256256
- Entity Type
- Organization
- Organization Name
- Five Towns Community Center Coda Program
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Mar 23, 2007
- Last Updated
- May 12, 2015
Practice Location
Authorized Official
- Name
- MR. LORENZO SISTRUNK, M.A.
- Title
- EXECUTIVE DIRECTOR
- Phone
- (516) 239-6244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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