| NPI | 1245640580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A MOSS Director 516-294-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NY 004682-1) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-07-17 |