Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic in Mexico - Addiction (substance Use Disorder)
Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic - NPI 1164435244
Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic is a Addiction (substance Use Disorder) in Mexico, New York. Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic is 1164435244. The last update date is 2008-07-17.
Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic's current location address is Po Box 716, Mexico, New York. You can contact this provider via phone number 3159630777 and fax number 3459630611. The mailing address for Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic is Po Box 716, Mexico, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic |
|---|---|
| Address | Po Box 716, Mexico, New York |
| Phone Number | 3159630777 |
| Fax Number | 3459630611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Long E Stanley |
| Telephone Number | 3159630777 |
NPI Number Detail
| NPI Number | 1164435244 |
|---|---|
| Provider Enumeration Date | 2006-08-13 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | Po Box 716 |
|---|---|
| City | Mexico |
| State | New York (NY) |
| Post Code | 13114 |
| Phone Number | 3159630777 |
| Fax Number | 3459630611 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1463294 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic by the Centers for Medicare & Medicaid Services?
The Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic has been assigned the NPI (National Provider Identifier) 1164435244 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic located?
The Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic is located at Po Box 716, Mexico, NY 13114.
What is Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.
On what date did the Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic receive its 1164435244 assignment from the Centers for Medicare & Medicaid Services?
The Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic was assigned its 1164435244 by the Centers for Medicare & Medicaid Services on 2006-08-13.
As of what date were the details pertaining to Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic last refreshed?
The information related to the Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic, including its address, specialty, and other relevant details, was last updated on 2008-07-17.
NPI Number: 1932106077
Address: Upmc Children's Hospital Of Pittsburgh, Pittsburgh, PA
NPI Number: 1629076518
Address: 7010 E. Chauncey Ln, Phoenix, AZ