| NPI | 1235723578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E ANNETTE MCPHATTER Licensed Clinical Psychologist 631-334-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-03-09 |