# JUST 4 YOU FAMILY SUPPORT SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275049884
- **Authorized official:** MR. KENRICK ALFRED CASAC-T, CAMS II (CHAIRMAN OF THE BOARD)
- **Authorized official phone:** (631) 575-8062

## Contact information

- **Practice address:** 608 JOHNSON AVE STE 2, BOHEMIA, NY 11716-2690
- **Practice address phone:** (631) 575-8062
- **Mailing address:** 608 JOHNSON AVE STE 2, BOHEMIA, NY 11716-2690
- **Mailing address phone:** (631) 575-8062
- **Mailing address fax:** (631) 761-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NY | Yes |

## Other

- **Enumeration date:** 12/19/2017
- **Last updated:** 06/11/2019