NPI | 1114928462 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY MANIGAT Chief Operating Officer 516-822-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
1041C0700X Social Worker Clinical | |
164W00000X Licensed Practical Nurse | |
2084P0800X Psychiatry & Neurology Psychiatry | |
261Q00000X Clinic/Center | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2005-08-09 |
Last Update Date | 2020-01-09 |