# SILVER LAKE SUPPORT SERVICES, INC

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

## Provider details

- **NPI number:** 1336363530
- **Authorized official:** AVRAHAM SCHICK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (718) 720-9600

## Contact information

- **Practice address:** 201 FOREST AVE, STATEN ISLAND, NY 10301-2763
- **Practice address phone:** (718) 815-3155
- **Practice address fax:** (718) 815-3151
- **Mailing address:** 201 FOREST AVE, STATEN ISLAND, NY 10301-2763
- **Mailing address phone:** (718) 815-3155
- **Mailing address fax:** (715) 815-3151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 061110987 | NY | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 06/17/2010