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