Organization
JUST 4 YOU FAMILY SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENRICK ALFRED CASAC-T, CAMS II (CHAIRMAN OF THE BOARD)
(631) 575-8062
Entity
Organization
Contact information
Practice address
608 JOHNSON AVE STE 2, BOHEMIA, NY 11716-2690
(631) 575-8062
Mailing address
608 JOHNSON AVE STE 2, BOHEMIA, NY 11716-2690
(631) 575-8062
(631) 761-9475
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
12/19/2017
Last updated
06/11/2019
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