Organization
LONG ISLAND TREATMENT CENTER LLC
Active
Other names
Long Island Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE REUTER (OWNER)
(954) 425-2949
Entity
Organization
Contact information
Practice address
100 W NICHOLAI ST UNIT 2, HICKSVILLE, NY 11801-3887
(561) 818-9901
Mailing address
455 NE 5TH AVE STE D433, DELRAY BEACH, FL 33483-5658
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
07/21/2022
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