| NPI | 1043330582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA J MONDESIR Licensed Mental Health 516-593-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 003165) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-07-16 |