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 |