| NPI | 1154723559 |
|---|---|
| Other Name | ED180 EATING DISORDER TREATMENT PROGRAMS |
| Entity Type | Organization |
| Authorized Contact | JEFFREY R DESARBO Director 516-280-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |