Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic
Stanley Long Dba Harbor Lights Professional Chemical Dependency Servic is an Addiction (Substance Use Disorder) Counselor in Mexico, New York. Licensed in New York. Registered with an NPI since 2006.
- Licensed in
- NY
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
3358 Main StMexico, NY 13114
Phone: (315) 963-0777
Fax: (345) 963-0611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence 080211024 (NY) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
Record details
| NPI number | 1164435244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stanley Long — Owner · (315) 963-0777 |
| NPI enumerated | August 13, 2006 |
| Last updated in NPPES | July 17, 2008 |
| Mailing address | Po Box 716, 3358 Main St, Mexico, NY 13114 |