| NPI | 1053888099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VOLLARO Owner 631-732-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |