| NPI | 1114382280 |
|---|---|
| Other Name | INTERIM MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ELLEN HAMBURGER Contract Specialist 631-689-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: NY 8335001A) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 1060L001) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2016-02-19 |