| NPI | 1073901500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE G SLOVIN Owner 516-810-5690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 073101-1) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |