Organization
NEW PATHWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BUTCHEN LCSW-R, CASAC, SAP (EXECUTIVE DIRECTOR)
(516) 433-6069
Entity
Organization
Contact information
Practice address
111 W OLD COUNTRY RD, SUITE 2B, HICKSVILLE, NY 11801-4003
(516) 433-6069
(516) 433-6245
Mailing address
111 W OLD COUNTRY RD, SUITE 2B, HICKSVILLE, NY 11801-4003
(516) 433-6069
(516) 433-6245
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
NY
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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