| NPI | 1033785274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWAFIKUNMI SOBOWALE Director 631-627-4877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2024-08-23 |