| NPI | 1225652068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BENJAMIN Clinical Psychologist 516-413-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-07 |