Organization
COUNSELING MEDIATION & FORENSIC SERVICES
Active
Organization
COUNSELING MEDIATION & FORENSIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ANTHONY STASSI LCSWR (EXECUTIVE DIRECTOR)
(631) 218-0962
Entity
Organization
Contact information
Practice address
30 FLOYDS RUN, BOHEMIA, NY 11716-2154
(631) 218-0968
(631) 567-5172
Mailing address
PO BOX 647, NESCONSET, NY 11767-0647
(631) 218-0968
(631) 567-5172
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
NY
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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