| NPI | 1194748368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARVEY GERALD GERSTEN Chief Financial Officer 631-789-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 6423021) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-09-01 |