| NPI | 1093045932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GUIDA President 516-621-2854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NY 069724-1) |
| Enumeration Date | 2009-12-27 |
| Last Update Date | 2009-12-27 |