| NPI | 1104920313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L TOMARKEN Com MIS Sioner 631-854-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: NY 6919109A) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-10-22 |