| NPI | 1194179069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSNAIN ASHRAF Manager 516-724-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-05-10 |