| NPI | 1023182094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MARGARITA BOYLE Chief Executive Officer 516-538-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 150210806) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2021-11-09 |