| NPI | 1215120399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PEPPER Director Of Finance 631-474-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: NY 6825006A) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2015-05-15 |