| NPI | 1124918578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ST. FLEUR CEO 631-513-6676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology Forensic Psychiatry |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-08 |