| NPI | 1003458886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAYSHIA PINKNEY Owner 631-745-3778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-10-21 |