| NPI | 1093092025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISA LOCASCIO Nurse Supervisor 631-289-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |